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[Analysis of the Millard method for unilateral cleft lip repair]
Ru-hong Zhang1, Chang Zhu, Xiong-zheng Mu
1Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Second Medical University, Shanghai 200011, China.
Objective:
To analyze and describe the advantages and disadvantages of the Millard repair in the unilateral cleft lip (UCL).
Methods:
In 30 patients with UCL undergoing the cleft lip repair with the Millard I or II method, the vermilion was repaired by a modified method with a triangle flap, while the alar cartilage reposition was performed.
Results:
Postoperative follow-up of 6-12 months revealed the good results with invisible scar, good preservation of philtrum dimple and column, full vermilion and lengthened columella, good alar cartilage reposition.
Conclusion:
The Millard method is good for UCL repair. The modified technique with a triangle flap on the vermilion edge can overcome Millard's disadvantages. The anatomic reposition of the affected alar cartilage by blunt dissection at the first stage is suitable for the oriental.
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